Can you still have sex after prostate cancer surgery? Sexual rehabilitation program fully disclosed

1. 97% survival rate does not mean no need to be vigilant

Data goes against common sense:

Oxford study: 15-year survival rate of patients with limited-stage disease is 97%> survival rate of patients with diabetic complications (89%)

Cruel comparison: The 5-year survival rate of metastatic prostate cancer drops sharply to 30%, and the early screening window period is only 35 years

Screening paradox: my country's active screening rate is less than 7%, and 60% of patients are diagnosed in the middle and late stages

Action Guide

✅PSA test + digital anal examination every year starting from 45 years old

✅People with family history should establish screening files at the age of 35 in advance

✅Abnormal indicators (PSA＞4ng/mL) immediately undergo multi-parameter MRI

2. The “double attack” of age perception

Clinical reality:

Younger trend: The youngest patient admitted to Shanghai's top three hospitals in 2023 will be only 28 years old

Hidden killer: The misdiagnosis rate of patients under 40 years old is as high as 73%, and they are often treated as prostatitis

Hormone trap: People with testosterone levels exceeding 12nmol/L have a 2-fold increased risk of disease

High risk warning

⚠️Long-term frequent urination/increased nocturia ≠ kidney deficiency

⚠️Pain during ejaculation needs to be checked for tumor compression

⚠️Sedentary programmers/long-distance drivers are listed as high-risk occupations

3. Silent Progress of "Resident Evil"

Asymptomatic truth:

Biological characteristics: When the tumor volume is less than 0.5 cm³, it does not compress the urethra and the symptom-free period can last up to 8 years.

Metastatic signal: Bone pain (lumbar spine > pelvis > ribs) may be the first late sign

Diagnostic innovation: PSMA PET/CT accurately locates 0.2 cm lesions and reduces missed diagnosis rate by 90%

Self-check program

🔍Record urination diary: Be alert if single urine volume is less than 150ml

🔍Observe the color of semen: Seek medical attention immediately if the discharge is light red

🔍Test morning urine flow rate: Maximum urine flow rate <10ml/s is abnormal

4. The "reversal script" of sexual dysfunction

Treatment Breakthrough:

Nerve protection: Da Vinci robot surgery has a 92% chance of preserving nerves

Recovery time window: 6 months after surgery, the erectile function recovery rate is 78%, which increases to 89% with low-energy shock wave therapy

Compensation plan: The combined use of vacuum negative pressure device + PDE5 inhibitor has an effective rate of 97%

Intimacy Guide

🌟Start pelvic floor muscle training 2 weeks after surgery (3 sets of Kegel exercises per day)

🌟Supplement arginine (5g per day) to improve the blood supply to the corpus cavernosum

🌟Use silicone-based lubricants to reduce friction pain

5. The “super combination” of the prevention track

Nutritional interventions:

Lycopene: Daily intake ≥ 15 mg (about 600 g of cooked tomatoes) reduces the risk by 21%

Cruciferous: Broccoli contains sulforaphane, which can block cancer cell metabolism 4 times a week

Vitamin D: The risk of people with serum concentrations > 75nmol/L is reduced by 45%.

Exercise prescription

🏃Squat 50 times a day to enhance pelvic floor blood circulation

🚴High-intensity interval training (HIIT) 3 times a week

🧘Tai Chi regulates the hormone secretion cycle